Answer this question truthfully
### Question: Who is at highest risk for Munchausen syndrome ?
### Response: Risk factors may include:
Chronic illness during childhood – the person may have received a lot of attention because of their illness Chronic illness of a significant family member when the person was a child Self-esteem or identity problems Relationship problems Difficulty distinguishing reality from fantasy Ability to lie and manipulate A history of mental problems such as depression, hallucinations or posttraumatic stress disorder (PTSD) The need to blame personal failures on external factors, such as illness.